Mickelwait, J Semmes
Mickelwait, J Semmes is an individual health care provider with primary practice located at 1420 Roosevelt Ave Suite 7, Mount Vernon WA 98273-2687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mickelwait, J Semmes can be contacted via phone (360) 424-4186.Contact Information
Primary practice address
1420 Roosevelt Ave Suite 7
Mount Vernon WA 98273-2687
Phone: (360) 424-4186
Fax: (360) 428-0927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00013676 | Washington |
Profile Details
| NPI number | 1811944309 |
|---|---|
| LBN Legal business name | Mickelwait, J Semmes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811944309 | NPPES |
| Washington | MEDICAID | 1124502 |
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